45D0486110 CLIA NUMBER - JOHN PETER SMITH HOSPITAL/MAIN LAB

Laboratory Demographics

  • CLIA Code: 45D0486110
  • Facility Name: JOHN PETER SMITH HOSPITAL/MAIN LAB
  • Facility Address: 1500 SOUTH MAIN STREET
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 702-3426
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JANET M. MILES
  • NPI Number: 1760642177
  • Taxonomy: 283Q00000X - Psychiatric Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0486110
LAB Type Hospital
Facility Name JOHN PETER SMITH HOSPITAL/MAIN LAB
Street 1500 SOUTH MAIN STREET
City FORT WORTH
State TX
ZIP 76104
Phone 817 702-3426
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. JANET M. MILES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025